HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING &- DEVELOPMENT SERVICES DEPARTMENT'
Building & Code Regulations Division
2300 VIRGINIA AVENUE
■ FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIWECEIVED
JAN 1.2 2022
St, Lucie County
I, the undersigned, am the owner of the following describecPpmpe�y,
2311-411-0004-000-1
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County. for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie'County Land Development Code, i shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Print)
Property Owner
STATE OF+bGR QA. COUNTY OF
&Ak/
.Date'
ACKNOWLEDGED BEFORE, ME THIS DAY OF' y �� i ; 20 a I ,
BY I G3�r 1 �- �\�-rL WHO IS PERSONALLY KNOWN TO ME (1j OR WHO HAS
PRODUCED
GNAT E OF NOTARY PUBLIC j TYPE OR PRINT NOTARY
COMMISSION NUMBER
L` X-f - 1 t oZ� i aba-3 (SEAL).
SLCPDSD Revised 04/1112011
AS IDENTIFICATION.